00000372.htm

treatment in local health agencies in the patients' own
communities.

Fort Worth facility. The shift in activities from the Clini-

cal Research Centers to the community was given impetus
by the transfer of the Fort Worth facility from NIMH
to the Bureau of Prisons, Department of Justice. The
transfer, announced on January 29, 197], was completed
in October 1971, The Bureau of Prisons will use the
Fort Worth installation as ;i medical facility for treating
prisoner narcotic addicts functor title II of NARA),
geriatric patients, and individuals undergoing- post-
surgical rehabilitation. Patients who were committed to
Fort Worth under NARA titles I and III completed
their inpaticnt treatment there and were then transferred
',o NIMH-supportcd community programs for further
treatment and rehabilitation. Addicts who would have
entered Fort Worth under tides I and III arc now
undergoing examination and treatment in their own or
nearby communities in agencies under contmet with
NIMH,

The transfer of the Fort Worth facility is in keeping
with the overall NIMH goal of supporting the develop-
ment of Slate and local capabilities LO deal with narcotic
addiction and drug abuse. It has long been felt by those
working in the field that il is impractical to tnke an
addict out of his environment and -send him to n faraway,
isolated facility for a considerable period. .It is less disrup-
tive to the treatment process and the addict's personal
life and it is less costly to have the whole- rehabilitation
effort take place at the community level.

Treatment and Rehabilitation

During FY 1971, the single event winch most affected
the narcotic addict treatment and rehabilitation programs
was the passage of the. Comprehensive Drug Abuse
Prevention and Control Act of 1970 (P.L. 91-513). This
act broadened the scope of all existing community-based
treatment programs; it authorized all such programs to
accept for treatment abuscrs of drugs other than opiates,
(The law did not affect the civil commitment procedure,
which still is solely for opiate-dependent individuals.)
In addition, the act authorized the funding¹ of Drug
Abuse Services Projects, permitting the initiation of in-
novative services which are designed to meet the special
needs of different segments of the population,

Training and Education

During FY 1971, three specialized training centers were
developed to provide, training in drug abuse prevention,

Lexington graffiti.

During the year, 629 examinations, representing twice
the number in the previous year, were conducted in 29
community agencies; and 106 patients, five times the
previous year's number, received inpnticnt treatment in
nine community agencies. The additional examination
and treatment agencies will be fully utilized during the
coming year.

Admissions. At the end of FY 1971,526 patients remained
in the two NIMH Clinical Research Centers at Lexing-
ton, Ky., and Fort Worth, Tax. These patients, among
the 2,078 remaining in the entire NARA program at
year's end, were undergoing cither examination and eval-
uation or inpaticnt treatment in the first phase of the re-
habilitation program. First admissions to the two Centers
declined from 2,585 in FY 1970 to 1,747 in FY 1971, but
admissions to the NARA community-based facilities
increased from 277 in FY 1970 to 635 in FY 3 971.

Despite this increase in community examination and
evaluations, there were approximately 500 fewer admis-
sions to the NARA program in FY 1971; however, pa-
tients entering aftercare and posthospitalization increased
from 756 in FY 1970 to 931 in FY 1971. While the total
number remaining in the program is still increasing, the
program size is expected to stabilize at about 2,500. In
the coming year, an increasing number of these patients
will undergo examination and evaluation and inpatient




		treatment in local health agencies in the patients' own communities. Fort Worth facility. The shift in activities from the Clini- cal Research Centers to the community was given impetus by the transfer of the Fort Worth facility from NIMH to the Bureau of Prisons, Department of Justice. The transfer, announced on January 29, 197], was completed in October 1971, The Bureau of Prisons will use the Fort Worth installation as ;i medical facility for treating prisoner narcotic addicts functor title II of NARA), geriatric patients, and individuals undergoing- post- surgical rehabilitation. Patients who were committed to Fort Worth under NARA titles I and III completed their inpaticnt treatment there and were then transferred ',o NIMH-supportcd community programs for further treatment and rehabilitation. Addicts who would have entered Fort Worth under tides I and III arc now undergoing examination and treatment in their own or nearby communities in agencies under contmet with NIMH, The transfer of the Fort Worth facility is in keeping with the overall NIMH goal of supporting the develop- ment of Slate and local capabilities LO deal with narcotic addiction and drug abuse. It has long been felt by those working in the field that il is impractical to tnke an addict out of his environment and -send him to n faraway, isolated facility for a considerable period. .It is less disrup- tive to the treatment process and the addict's personal life and it is less costly to have the whole- rehabilitation effort take place at the community level. Treatment and Rehabilitation During FY 1971, the single event winch most affected the narcotic addict treatment and rehabilitation programs was the passage of the. Comprehensive Drug Abuse Prevention and Control Act of 1970 (P.L. 91-513). This act broadened the scope of all existing community-based treatment programs; it authorized all such programs to accept for treatment abuscrs of drugs other than opiates, (The law did not affect the civil commitment procedure, which still is solely for opiate-dependent individuals.) In addition, the act authorized the funding¹ of Drug Abuse Services Projects, permitting the initiation of in- novative services which are designed to meet the special needs of different segments of the population, Training and Education During FY 1971, three specialized training centers were developed to provide, training in drug abuse prevention,
	Lexington graffiti. During the year, 629 examinations, representing twice the number in the previous year, were conducted in 29 community agencies; and 106 patients, five times the previous year's number, received inpnticnt treatment in nine community agencies. The additional examination and treatment agencies will be fully utilized during the coming year. Admissions. At the end of FY 1971,526 patients remained in the two NIMH Clinical Research Centers at Lexing- ton, Ky., and Fort Worth, Tax. These patients, among the 2,078 remaining in the entire NARA program at year's end, were undergoing cither examination and eval- uation or inpaticnt treatment in the first phase of the re- habilitation program. First admissions to the two Centers declined from 2,585 in FY 1970 to 1,747 in FY 1971, but admissions to the NARA community-based facilities increased from 277 in FY 1970 to 635 in FY 3 971. Despite this increase in community examination and evaluations, there were approximately 500 fewer admis- sions to the NARA program in FY 1971; however, pa- tients entering aftercare and posthospitalization increased from 756 in FY 1970 to 931 in FY 1971. While the total number remaining in the program is still increasing, the program size is expected to stabilize at about 2,500. In the coming year, an increasing number of these patients will undergo examination and evaluation and inpatient